AMY JEAN BLEAK (NPI# 1194239053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194239053 |
| Entity Type | Individual |
| Full Name | AMY JEAN BLEAK |
| Credential | APRN, FNP-BC |
| Practice Address |
440 N Paiute Dr Cedar City UT 84721-6181 |
| Mailing Address |
2484 W Meadow St Cedar City UT 84720-2265 |
| Practice Telephone | 4358651520 |
| Practice Fax Number | 4358672658 |
| Mailing Telephone | 4355924307 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
345563-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2484 W Meadow St, Cedar City, UT 847202265 | 4355924307 | |
| 962 Sage Dr, Cedar City, UT 847201885 | 4358653460 |
| Street Address |
440 N PAIUTE DR |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84721-6181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626018 | Scott Parker | Nurse Practitioner | 440 N Paiute Dr, Cedar City, UT 84720-2681 | 2005-11-17 |
| 1467916973 | Shanda Laree Francisco | Counselor | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2019-01-29 |
| 1649751496 | Cody Mark Cox | Counselor | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2018-08-28 |
| 1578072476 | Ryan James Johnston | Social Worker | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2017-09-22 |
| 1104288521 | Paiute Indian Tribe of Utah | Case Management | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2016-03-24 |
| 1033585716 | Chris Bagby | Counselor | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2015-08-17 |
| 1205215381 | Darrin Judd | Social Worker | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2015-05-22 |
| 1942693213 | Paiute Indian Tribe of Utah | Community/Behavioral Health | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2015-03-11 |
| 1619306438 | Wes Nielsen | Physician Assistant | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2013-11-02 |
| 1487087078 | Paiute Indian Tribe of Utah | Non-emergency Medical Transport (VAN) | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496189 | Heather Kirchmeier | Registered Nurse | 260 E D.l. Sargent Drive, Cedar City, UT 84721 | 2019-06-13 |
| 1245794080 | Enoch Dental Care, LLC | Clinic/Center | 850 East Midvalley Rd, Enoch, UT 84721 | 2019-01-25 |
| 1619459054 | Eulalia Marie Hall | Nurse Practitioner | 1303 N. Main St, Cedar City, UT 84721 | 2018-09-01 |
| 1922559285 | Renewed Hope Ranch, LLC | Community/Behavioral Health | 425 East 6000 North, Enoch, UT 84721 | 2016-10-20 |
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| 1851700736 | Jason Arch | Chiropractor | 476 E Midvalley Rd, Cedar City, UT 84721 | 2014-08-05 |
| 1902237183 | Virgil Eric Bonnett | Social Worker | 4921 North Bald Eagle Dr., Enoch, UT 84721 | 2013-12-12 |
| 1891065280 | Merry A. Kelly | Registered Nurse | 260 E Dl Sargent Drive, Cedar City, UT 84721 | 2012-01-03 |
| 1235444787 | Adolescent Life Choices | Residential Treatment Facility, Emotionally Disturbed Children | 467 N. 300 W., Cedar City, UT 84721 | 2010-08-09 |
| Find all providers in zip 84721 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619459054 | Eulalia Marie Hall | Nurse Practitioner | 1303 N. Main St, Cedar City, UT 84721 | 2018-09-01 |
| 1578066080 | Gregory Lynn Camp | Nurse Practitioner | 2002 N Main St Ste 3, Cedar City, UT 84721-9812 | 2018-03-10 |
| 1033153341 | Karen Witzel Whittemore | Nurse Practitioner | 74 W Harding Ave, Cedar City, UT 84720-2562 | 2006-06-16 |
| 1023068426 | Brett E. Robbins | Nurse Practitioner | 2002 N Main St, Suite 3, Cedar City, UT 84721-9811 | 2006-05-10 |
| 1366927584 | Jody Jae Miller | Nurse Practitioner | 1251 Northfield Rd Ste 301, Cedar City, UT 84721-8625 | 2018-10-03 |
| 1528496080 | Jamie Cox | Nurse Practitioner | 2002 N Main St, Suite 3, Cedar City, UT 84721-9811 | 2013-10-21 |
| 1861833303 | Daphne Anne Solomon | Nurse Practitioner | 110 W 1325 N, Suite 300, Cedar City, UT 84721-8101 | 2013-07-12 |
| 1154641959 | Daralee Kjar | Nurse Practitioner | 1333 N Main St, Ste. 3, Cedar City, UT 84721-9314 | 2010-06-03 |
| 1730365024 | Brett Robbins Msn Rn Cs Fnp Inc | Nurse Practitioner | 2002 N Main St, Suite 3, Cedar City, UT 84721-9811 | 2008-01-16 |
| 1699781666 | Alan H Pearson | Nurse Practitioner | 1303 N Main St, Suite D, Cedar City, UT 84720-9746 | 2006-07-31 |
| Find all providers in CEDAR CITY | ||||
| City | CEDAR CITY |
| Zip Code | 84721 |
Please comment or provide details below to improve the information on AMY JEAN BLEAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.